| 03/18/2015 |
| 06:31:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DUSEK, CURT, | F7-3082 | R | 17.00 | 5178********6201 | 08576Z | 03/18/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 17.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 17.00 |