| 04/17/2013 |
| 08:12:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROVES, DANIEL, | AT-14747 | R | 42.84 | 5201********1181 | 01019B | 04/17/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 42.84 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.84 |