| 08/28/2013 |
| 09:04:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GERMIMO, MARK, | FQ-429940 | R | 31.95 | 4239********1929 | 266288 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.95 |