| 08/13/2014 |
| 10:35:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HUMPHRIES, CHRI, | M4-28942 | R | 59.98 | 4000********5396 | 169949 | 08/13/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.98 |