| 05/14/2014 |
| 08:03:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHIBIRKA, TESS, | 5F-005339 | R | 164.32 | 4867********5542 | 015408 | 05/14/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 164.32 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 164.32 |