| 01/29/2014 |
| 08:30:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GREEN, SARAH, | PR-GREEN | R | 53.76 | 5401********5060 | 05696B | 01/29/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 53.76 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 53.76 |