| 12/17/2014 |
| 09:37:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURCH, STEVE, | BW-304317 | R | 81.50 | 5178********3157 | 05555Z | 12/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 81.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 81.50 |