| 12/03/2014 |
| 10:04:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STINEBAUGH, SHA, | FZ-437697 | R | 26.95 | 5332********3754 | FRH5CT | 12/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 26.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.95 |