| 08/21/2013 |
| 08:40:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EDELSTEIN, LAUR, | 4F-000693 | R | 5.00 | 4327********2269 | 516277 | 08/21/13 |
| 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 |