| 11/06/2014 |
| 09:08:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOSHER, RENEE, | 53-030754 | R | 100.00 | 4239********8629 | 035927 | 11/06/14 |
| 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 |