| 01/23/2013 |
| 08:11:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RASLOVICK, KRIS, | BD-19237 | R | 29.00 | 4430********8330 | 331527 | 01/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |