| 12/11/2013 |
| 08:07:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SOMMERS, JARED, | AZ-0317 | R | 50.00 | 4342********0810 | 128984 | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |