| 07/31/2013 |
| 08:10:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VAN NAARDEN, RO, | BD-17579 | R | 29.00 | 4029********3297 | 061713 | 07/31/13 |
| 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 |