| 11/12/2014 |
| 12:33:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VANALTVORST, BR, | A4-19689 | R | 151.83 | 3772*******1003 | 5672 | 11/12/14 |
| WADDINGHAM, BRA, | A4-18667 | R | 88.58 | 4430********8171 | 496061 | 11/12/14 |
| Count | Card Type | Total |
| 1 | American Express | 151.83 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 88.58 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 240.41 |