| 01/28/2015 |
| 06:19:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DARRACH, JASON, | MA-3271 | R | 25.00 | 5178********8609 | 06083Z | 01/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |