| 10/09/2013 |
| 07:33:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OUTLER, ROSE, | 4A-772767878 | R | 59.00 | 4064********6137 | 033650 | 10/09/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |