| 08/28/2013 |
| 09:04:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOCCO, TIMOTHY, | 3Y-108280 | R | 25.00 | 5480********1411 | H84507 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |