| 08/27/2014 |
| 08:53:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOODEN, AMBER, | HD-3953 | R | 126.03 | 5424********0225 | 178404 | 08/27/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 126.03 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 126.03 |