| 10/02/2013 |
| 06:16:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRIGSBY, SARA, | 4P-576087598 | R | 39.00 | 5424********9844 | 161785 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |