| 08/21/2013 |
| 08:42:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERTOT, AMANDA, | 7A-744626403 | R | 79.00 | 4190********7028 | 028943 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |