| 11/04/2015 |
| 07:19:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KELLEY, ORRIN, | LC-42124 | R | 106.82 | 5149********7007 | 025184 | 11/04/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 106.82 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 106.82 |