| 09/24/2014 |
| 08:34:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STULTS, DAVE, | CZ-10875 | R | 175.00 | 4833********5050 | 081509 | 09/24/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 175.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 175.00 |