| 01/16/2013 |
| 08:36:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MADDOX, ANGELO, | SN-1503 | R | 39.99 | 4809********8915 | 030965 | 01/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |