| 11/16/2014 |
| 16:14:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORTUNA, NANCY | PF-001112 | 2 | 19.00 | 4417********5797 | 01642A | 11/16/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |