| 08/06/2014 |
| 06:56:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COX, RACHAL, | TM-12470 | R | 129.00 | 4695********8593 | 07073A | 08/06/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 129.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 129.00 |