| 04/11/2013 |
| 10:49:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTGOMERY, AMB, | 41-364291934 | R | 99.00 | 4327********1874 | 716685 | 04/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |