| 09/25/2013 |
| 06:07:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCHEMIKO, JAROS, | 80-10433 | R | 23.99 | 4427********6328 | 429742 | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 23.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 23.99 |