| 12/17/2014 |
| 09:36:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CLARK, JASON, | S4-SAC1436 | R | 44.00 | 5175********4810 | 160892 | 12/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 44.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.00 |