| 05/29/2013 |
| 08:40:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PATEL, VIRENDRA, | Y8-C103758 | R | 14.99 | 6011********6396 | 02909B | 05/29/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 14.99 |
| 0 | Other | 0.00 |
| 14.99 |