| 12/11/2014 |
| 10:14:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CODY, KAYLYN, | HQ-21987 | R | 90.00 | 5517********1773 | 054363 | 12/10/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 90.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 90.00 |