| 12/17/2014 |
| 09:37:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OLSON, WADE, | AZ-11191 | R | 25.00 | 4296********1969 | 022108 | 12/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |