| 11/20/2013 |
| 08:25:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ELLINGSON, SAMU, | WF-114245 | R | 64.00 | 5465********1623 | H67299 | 11/20/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.00 |