| 03/12/2014 |
| 07:35:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HIATT, KEAH, | 5S-913655763 | R | 39.00 | 5512********4630 | 280365 | 03/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |