| 11/13/2013 |
| 08:34:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HARINGSMA, JENN, | 7E-568982103 | R | 6.40 | 5403********7922 | 152699 | 11/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 6.40 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 6.40 |