| 01/21/2015 |
| 08:37:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GREENE, LARRY, | KX-10556 | R | 29.00 | 5148********1468 | 090599 | 01/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |