| 12/03/2014 |
| 10:04:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CLEVELAND, ZACK, | D9-11971 | R | 33.00 | 4060********0225 | 04956C | 12/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.00 |