| 10/02/2013 |
| 07:28:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PIETSCH, THOMAS, | AR-15569 | R | 28.24 | 4064********0494 | 317762 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 28.24 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.24 |