| 03/11/2015 |
| 05:41:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KOCH, ELTON, | Q1-26250 | R | 54.00 | 4121********8204 | 07542B | 03/11/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |