| 05/22/2013 |
| 06:12:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURGETT, TINA, | 4S-12060924 | R | 39.25 | 4631********4118 | 117003 | 05/22/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.25 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.25 |