| 09/11/2013 |
| 09:21:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| IMGARTEN, ANGEL, | RF-402129 | R | 22.00 | 4209********6027 | 839428 | 09/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 22.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 22.00 |