| 11/01/2014 |
| 09:37:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMMONS, VANDY | MF-4046803626 | 1 | 29.00 | 5325********1086 | 161876 | 11/01/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |