| 06/19/2013 |
| 06:55:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COGNEVICH, AMBE, | 3J-634289155 | R | 71.30 | 5491********1694 | 01977B | 06/19/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 71.30 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 71.30 |