| 05/16/2013 |
| 07:04:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COOK - 1, JENNI, | 30-001642 | R | 79.00 | 4447********9061 | 016709 | 05/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |