| 10/02/2013 |
| 07:28:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURNINGHAM, CHR, | FL-FF13651 | R | 58.00 | 4900********5111 | 251854 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 58.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 58.00 |