| 07/15/2013 |
| 08:03:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACOBS, TONI | 5R-938157284 | 3 | 59.00 | 4011********2702 | 064748 | 07/15/13 |
| 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 |