| 02/11/2015 |
| 06:23:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOLOTA, TIFFANY, | BG-4973 | R | 49.00 | 4235********4721 | 041332 | 02/11/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |