| 12/17/2014 |
| 09:37:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PATE, JACKIE, | E3-549206 | R | 39.99 | 4153********0446 | 070826 | 12/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |