| 01/28/2015 |
| 06:25:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FUGATE, TINA, | HD-12944 | R | 52.78 | 5178********9961 | 04336Z | 01/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 52.78 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.78 |