| 09/11/2013 |
| 09:21:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILL, ADAM, | MM-23319 | R | 35.00 | 4020********2003 | 636929 | 09/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |