| 04/30/2014 |
| 06:11:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORS, KALI, | 6A-66174699 | R | 0.81 | 5466********5767 | 70867P | 04/30/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 0.81 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 0.81 |