| 08/14/2013 |
| 08:50:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLOOM, ASHLEY, | FV-438101 | R | 31.95 | 4266********7637 | 03640B | 08/14/13 |
| 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 |