| 11/19/2014 |
| 08:58:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CLEMENZA, MICHE, | QU-D04218 | R | 35.00 | 4029********8776 | 084943 | 11/19/14 |
| MOJICA, DAWN, | QU-D00017 | R | 39.99 | 5466********4624 | 91454P | 11/19/14 |
| POLIS, DAVID, | QU-D02972 | R | 39.99 | 4207********9623 | 024909 | 11/19/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.99 |
| 2 | Visa | 74.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 114.98 |