| 08/27/2014 |
| 08:53:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLALOCK, CASAND, | KX-10146 | R | 58.00 | 5148********3161 | 054792 | 08/27/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 58.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 58.00 |