| 12/02/2015 |
| 08:33:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OKEEFE, DELORES, | UF-5724 | R | 74.00 | 5109********9150 | H89390 | 12/02/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 74.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 74.00 |