| 10/23/2013 |
| 08:27:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PETSCHE, JACK, | CF-0022128 | R | 15.90 | 4037********9035 | 503295 | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.90 |