| 08/28/2013 |
| 08:50:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FRANSKOUSKY, KA, | 4V-016905 | R | 112.92 | 4465********2601 | 028696 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 112.92 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 112.92 |