| 09/25/2013 |
| 06:07:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VISSER-TIDDY, J, | FL-FF13503 | R | 29.00 | 4190********7541 | 011233 | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |