| 01/29/2014 |
| 08:30:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CERMAK, MICHAEL, | UF-F4143 | R | 84.00 | 4833********3822 | 002507 | 01/29/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |