| 06/04/2014 |
| 08:21:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ENSOR, TOMAS, | 1X-642067953 | R | 21.99 | 5109********8625 | H65514 | 06/04/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |