| 12/11/2013 |
| 08:07:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COOL, GINA, | FU-453362 | R | 24.99 | 4870********5735 | 103470 | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |