| 12/11/2013 |
| 08:07:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SARRADET, THOMA, | V7-29482 | R | 68.00 | 3734*******3001 | 105553 | 12/11/13 |
| Count | Card Type | Total |
| 1 | American Express | 68.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.00 |