| 04/17/2013 |
| 08:12:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURBY, JEFF, | 1D-20459 | R | 41.00 | 5491********7498 | 01739B | 04/17/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 41.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.00 |