| 01/08/2014 |
| 08:35:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WASHER, MICHAEL, | Y5-120229 | R | 15.00 | 4717********3263 | 002729 | 01/08/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.00 |