| 11/12/2014 |
| 09:21:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BRUBAKER, STEFF, | LV-003230 | R | 45.00 | 4081********7826 | 902161 | 11/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 45.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |