| 01/08/2014 |
| 08:35:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GADBOIS, NICOLE, | RX-00217 | R | 170.00 | 4147********8784 | 02282C | 01/08/14 |
| HAJE, JENNIFER, | RX-00378 | R | 81.95 | 5424********5551 | 13985P | 01/08/14 |
| PONTICIELLO, LU, | RX-00142 | R | 15.00 | 5121********7347 | 00865B | 01/08/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 96.95 |
| 1 | Visa | 170.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 266.95 |