| 02/21/2015 |
| 17:28:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JORGENSON, STACEY | F1-565086 | 4 | 156.00 | 4425********5366 | 021240 | 02/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 156.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 156.00 |