| 11/06/2014 |
| 09:09:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SHELTON, JILL, | SL-J13504 | R | 29.98 | 4430********7787 | 018976 | 11/06/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.98 |