| 12/05/2014 |
| 10:04:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HANSEN, MATT | M5-0225 | 1 | 159.00 | 4037********9154 | 905002 | 12/05/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 159.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 159.00 |