| 12/09/2015 |
| 08:41:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| URICH, TRACEY, | GF-10781 | R | 82.32 | 4147********8332 | 809053 | 12/09/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 82.32 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 82.32 |