| 10/16/2013 |
| 08:47:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| UHL, FEDINAND, | DT-101964 | R | 35.00 | 4998********5502 | 129319 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |