| 05/21/2014 |
| 06:33:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANE, RONALD R, | AA-SS116 | R | 30.00 | 5438********7695 | H64983 | 05/21/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 30.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |