| 05/13/2015 |
| 06:51:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAMUELS, KIM, | 94-15-109 | R | 59.00 | 4676********3532 | 567134 | 05/13/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |