| 10/16/2013 |
| 08:47:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KAITLYN, TIDWEL, | M4-28874 | R | 19.99 | 5461********0848 | 615198 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |