| 05/21/2014 |
| 06:30:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOSES, KRISTI, | 1S-001943 | R | 59.95 | 5178********2768 | 03269Z | 05/21/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.95 |