| 02/06/2013 |
| 09:15:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURNS, KELLI, | D9-10250 | R | 33.00 | 4000********4275 | 811063 | 02/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.00 |