| 12/04/2013 |
| 08:35:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARLQUIST, KORI, | 2B-002476 | R | 60.03 | 4788********9685 | 000210 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 60.03 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.03 |