| 04/09/2014 |
| 07:03:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BARRETTE, JACK, | 80-10620 | R | 5.00 | 5121********2797 | 00901B | 04/09/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 5.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |