| 12/03/2014 |
| 08:50:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OAKS, GERRY, | HQ-2712 | R | 100.00 | 4736********5610 | 068115 | 12/03/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 100.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |