| 07/30/2014 |
| 08:39:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROSS, JAN, | Q1-15191 | R | 56.00 | 5410********0017 | 73578P | 07/30/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 56.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 56.00 |