| 05/14/2014 |
| 08:04:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OSBOURNE, DANIE, | 36-775 | R | 35.00 | 5109********6985 | H78882 | 05/14/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |