| 02/26/2014 |
| 09:05:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SURMAN, MATTHEW, | XY-4180 | R | 42.75 | 4460********4383 | 084557 | 02/26/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 42.75 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.75 |