| 01/02/2014 |
| 06:37:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ARCHULETA, SHAN, | CN-60850 | R | 150.00 | 5307********9898 | 642581 | 01/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 150.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 150.00 |