| 09/03/2014 |
| 09:04:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SILVA, TYLER, | MA-3350 | R | 134.00 | 5178********6842 | 09627Z | 09/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 134.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 134.00 |