| 02/04/2015 |
| 06:31:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORTENBERRY, JO, | Z8-026455 | R | 31.39 | 4621********1606 | 940477 | 02/04/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.39 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.39 |