| 11/12/2014 |
| 12:33:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KUGMEH, MENGH, | GF-10887 | R | 67.13 | 4736********8440 | 096555 | 11/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 67.13 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 67.13 |