| 09/18/2013 |
| 06:14:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CLAIVER, JESSIC, | 4S-934948401 | R | 232.00 | 4060********6057 | 065406 | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 232.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 232.00 |