| 11/20/2013 |
| 08:24:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURCH, STEVE, | BW-304317 | R | 163.00 | 5178********2140 | 05060Z | 11/20/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 163.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 163.00 |