| 01/15/2014 |
| 06:33:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOSHER, RENEE, | 53-030754 | R | 100.00 | 4239********8629 | 026449 | 01/15/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 100.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |