| 12/10/2014 |
| 07:57:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HAAS, KURT, | H7-106385 | R | 50.00 | 4719********9840 | 700172 | 12/10/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |