| 11/06/2013 |
| 08:27:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VEJO, ELLA, | 5F-236850805 | R | 99.00 | 4355********8366 | 063011 | 11/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |