| 12/04/2013 |
| 08:35:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KING, DAWN, | 3G-383930021 | R | 16.75 | 4472********9759 | 994684 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 16.75 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 16.75 |