| 08/21/2013 |
| 08:45:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FARLEY, JASON, | D6-037335 | R | 59.90 | 4000********1507 | 788516 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.90 |