| 12/11/2014 |
| 10:14:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JOHNSON, EVA, | MY-100088 | R | 79.00 | 4342********9264 | 719763 | 12/10/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |