| 04/09/2014 |
| 07:04:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COATS, TIA, | SR-269901593 | R | 25.00 | 5465********9835 | H66995 | 04/09/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |