| 01/02/2013 |
| 06:47:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WARNER EVANS, S, | 43-006095 | R | 14.90 | 4904********4901 | 062111 | 01/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 14.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 14.90 |