| 05/21/2014 |
| 06:32:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOZAN, TAYLOR, | LG-001101 | R | 63.21 | 4584********6321 | 960820 | 05/21/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 63.21 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 63.21 |