| 01/22/2014 |
| 08:39:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BETSUNAIDZE, MA, | BG-7151 | R | 29.00 | 5537********1223 | 043924 | 01/22/14 |
| HAMBRICK, MIRAN, | BG-5970 | R | 25.00 | 4815********9671 | 163999 | 01/22/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |