| 12/18/2013 |
| 08:15:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROBERTS, ALLYSO, | H8-10391 | R | 29.95 | 4430********5443 | 054824 | 12/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |