| 08/14/2013 |
| 08:50:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MUSIOL, JACQUEL, | 1F-333061 | R | 21.19 | 4420********7568 | 000042 | 08/14/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.19 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.19 |