| 06/04/2014 |
| 08:21:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MILLER, JIM, | 3S-005523 | R | 29.95 | 5121********6888 | 00464B | 06/04/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |