| 09/26/2013 |
| 08:34:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KUBISTA, CHRIST, | 1L-336127750 | R | 66.29 | 5443********0515 | 092878 | 09/26/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 66.29 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 66.29 |