| 01/28/2015 |
| 06:19:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LACOUR, MICHELL, | K4-06987 | R | 207.10 | 4798********7106 | 04650G | 01/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 207.10 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 207.10 |