| 11/12/2014 |
| 09:21:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BAROUXIS, AMELI, | WB-117319 | R | 100.00 | 4417********0632 | 01428B | 11/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 100.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |