| 06/05/2013 |
| 06:01:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOETTE, JANUARY, | 3L-008699 | R | 44.95 | 4355********4850 | 6VI055 | 06/05/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 44.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.95 |