| 02/27/2013 |
| 08:04:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WERRETT, CLINTO, | SN-221 | R | 65.00 | 4153********0689 | 044404 | 02/27/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 65.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 65.00 |