| 07/31/2013 |
| 08:09:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOODMAN, ANNETT, | 4C-927322991 | R | 5.00 | 4104********3201 | 615474 | 07/31/13 |
| 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 |