| 08/13/2014 |
| 10:35:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KHAJEH, MAHSA, | C5-C03701 | R | 100.67 | 5410********4119 | 68940P | 08/13/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 100.67 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.67 |