| 10/02/2013 |
| 06:16:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANGEFELS, LISA, | 4Y-8852760 | R | 54.95 | 4447********6976 | 002341 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.95 |