| 12/04/2013 |
| 08:42:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STONE, LISA, | 94-8504 | R | 39.00 | 4250********6169 | 006247 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |