| 07/02/2014 |
| 07:07:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STAMATIS, MILT, | A5-200804 | R | 30.00 | 4081********0948 | 416648 | 07/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |