| 12/01/2013 |
| 08:05:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FAERY, LARISSA | 3L-007684 | 1 | 21.95 | 5142********0865 | 259356 | 12/01/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.95 |