| 11/13/2013 |
| 08:34:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARLSON, ROBIN, | 4F-618040081 | R | 119.00 | 4661********8634 | 060955 | 11/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 119.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 119.00 |