| 10/16/2014 |
| 10:04:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KLOTZ, JOANN, | LV-004145 | R | 101.00 | 4311********7530 | 016453 | 10/16/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 101.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 101.00 |