| 12/03/2014 |
| 10:04:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADDISON, STEVE, | FR-15013 | R | 41.13 | 5516********1295 | 776720 | 12/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 41.13 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.13 |