| 12/04/2013 |
| 08:42:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CROSSWHITE, ALL, | F7-1247 | R | 21.00 | 4331********6955 | 035917 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.00 |