| 08/13/2014 |
| 10:35:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORNER SR., DAY, | GV-1682 | R | 44.38 | 4342********4972 | 466336 | 08/13/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 44.38 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.38 |