| 04/29/2015 |
| 06:11:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BANKS, DONNA, | CA-849946 | R | 93.00 | 4149********4020 | 583313 | 04/29/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 93.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 93.00 |