| 08/21/2013 |
| 08:40:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BANKS, TERRI, | 4A-378280198 | R | 59.00 | 4356********2898 | 151839 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |