| 05/29/2013 |
| 08:38:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GLAESMAN, KEYAN, | 3H-192216251 | R | 158.00 | 4788********6761 | 985411 | 05/29/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 158.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 158.00 |