| 01/29/2014 |
| 08:30:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMON, JENNIFER, | LB-FF14260 | R | 29.00 | 3797*******2005 | 188312 | 01/29/14 |
| Count | Card Type | Total |
| 1 | American Express | 29.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |