| 11/15/2013 |
| 06:15:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STANSELL, FORREST | MC-10350 | 2 | 55.00 | 4127********9425 | 001466 | 11/15/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |