| 08/20/2014 |
| 07:03:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POLIS, DAVID, | QU-D02972 | R | 39.99 | 4207********9623 | 095207 | 08/20/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |