| 12/11/2013 |
| 08:05:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAVOCAT, DANIEL, | 4C-333268974 | R | 5.00 | 4465********1222 | 011867 | 12/11/13 |
| 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 |