| 09/10/2014 |
| 07:01:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NICOLICH, ASHLE, | 8H-484135 | R | 379.00 | 4217********2587 | 125218 | 09/10/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 379.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 379.00 |