| 04/11/2013 |
| 10:49:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KUBISTA, CHRIST, | 1L-336127750 | R | 5.00 | 4600********8233 | 018208 | 04/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |