| 04/23/2014 |
| 06:54:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WALLACE, JUDY, | H5-JWA | R | 29.00 | 5522********5864 | T1764B | 04/23/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |