| 12/03/2014 |
| 08:50:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MCDONOUGH, SUSA, | A1-804963 | R | 11.00 | 4117********7369 | 164754 | 12/03/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 11.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 11.00 |