| 06/26/2013 |
| 08:31:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORD, LADONNA, | F2-3695 | R | 29.00 | 4475********1255 | 918122 | 06/26/13 |
| KLEINERT, MADY, | F2-2198 | R | 55.00 | 5528********9315 | 05069S | 06/26/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 55.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |