| 05/21/2014 |
| 06:33:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLM, MORGAN, | A3-10647 | R | 129.00 | 4259********5695 | 491311 | 05/21/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 129.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 129.00 |