| 09/17/2014 |
| 06:59:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FREEMAN, HAELE, | GF-10968 | R | 67.13 | 4190********9875 | 000400 | 09/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 67.13 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 67.13 |