| 12/11/2013 |
| 08:05:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOLAN, JANET, | 6J-203450122 | R | 99.00 | 4121********3313 | 02322A | 12/11/13 |
| 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 |