| 08/14/2013 |
| 08:50:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EVELYN, SHARON, | GZ-555756 | R | 19.99 | 4159********6550 | 073917 | 08/14/13 |
| 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 |