| 05/22/2013 |
| 08:20:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROVES, DANIEL, | AT-14747 | R | 21.41 | 5201********1181 | 01053B | 05/22/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.41 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.41 |