| 08/27/2014 |
| 08:53:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLMQUIST, MELA, | LM-284564 | R | 336.00 | 4761********8045 | 095276 | 08/27/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 336.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 336.00 |