| 01/02/2014 |
| 06:35:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMMONS, WINDI, | 7A-347871721 | R | 79.00 | 5111********5121 | 062352 | 01/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |