| 10/30/2013 |
| 06:04:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOFFMAN, THOMAS, | NV-9900765 | R | 42.80 | 4431********4929 | 035821 | 10/30/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 42.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.80 |