| 11/06/2013 |
| 08:30:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SERYLO, CAROL, | P4-200952 | R | 45.00 | 4495********5679 | 029887 | 11/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 45.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |