| 05/21/2014 |
| 06:30:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOUMA, LAURA, | 5L-731088693 | R | 69.00 | 4862********8704 | 03514A | 05/21/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |