| 09/04/2013 |
| 09:02:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANGEFELS, LISA, | 4Y-8852760 | R | 69.95 | 4447********6976 | 004243 | 09/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.95 |