| 08/14/2013 |
| 08:47:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JAKUBEK, MARY, | 3J-467640290 | R | 118.00 | 4063********8336 | 319974 | 08/14/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 118.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 118.00 |