| 04/16/2015 |
| 05:37:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOORMAN, JASON, | EE-630667 | R | 285.00 | 4003********7924 | 04191B | 04/16/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 285.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 285.00 |