| 02/05/2014 |
| 06:08:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROLLERSON, CHRI, | XC-X00663 | R | 23.67 | 5109********0396 | H58124 | 02/05/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 23.67 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 23.67 |