| 02/13/2013 |
| 08:14:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JUSZCZYNSKI, KI, | 3N-972141156 | R | 59.00 | 5178********1518 | 00618Z | 02/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |