| 10/23/2013 |
| 08:28:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DAIDONE, ADELE, | 41-002046 | R | 5.00 | 4661********0262 | 012652 | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |