| 06/12/2013 |
| 07:56:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MANZO, ROBERTO, | FQ-24664 | R | 19.99 | 4465********3814 | 012004 | 06/12/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |