| 10/29/2014 |
| 06:36:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NGUYEN, HIEU, | TM-11143 | R | 149.00 | 5465********2782 | H77929 | 10/29/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 149.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 149.00 |