| 08/20/2014 |
| 07:03:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DARRACH, JASON, | MA-3271 | R | 25.00 | 3751*******4193 | 349072 | 08/20/14 |
| Count | Card Type | Total |
| 1 | American Express | 25.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |