| 10/16/2013 |
| 08:47:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DE LOS ANGELES,, | GZ-555665 | R | 20.00 | 4247********3567 | 000124 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |