| 10/23/2013 |
| 08:27:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILBERT, NORMAN, | AC-100634 | R | 183.94 | 4867********3194 | 035834 | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 183.94 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 183.94 |