| 11/19/2014 |
| 08:58:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAHAT, SABIN, | 94-12-089 | R | 10.00 | 4888********5278 | 045770 | 11/19/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |