| 12/11/2013 |
| 08:05:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| YERKICH, ANNIE, | 6D-000094 | R | 49.00 | 4313********3597 | 005767 | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |