| 08/28/2013 |
| 09:04:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HARRIS, SHEKELI, | A3-10625 | R | 178.00 | 4229********8509 | 882606 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 178.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 178.00 |