| 07/17/2013 |
| 07:43:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PALBICKE, KRIST, | 6A-735115131 | R | 59.00 | 5178********5970 | 02483B | 07/17/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |