| 12/11/2013 |
| 08:07:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AREVALOS, BREAN, | D9-11322A | R | 55.00 | 4833********7035 | 090707 | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |