| 11/27/2013 |
| 06:09:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FARLEY, JASON, | D6-036711 | R | 29.95 | 4000********1507 | 752201 | 11/27/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |