| 10/23/2013 |
| 08:27:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAY, BRYAN, | DW-11305 | R | 54.00 | 4039********1104 | 000119 | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |