| 10/16/2013 |
| 08:47:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BARYSCH, AMY, | GF-10015 | R | 120.00 | 4342********1540 | 999020 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 120.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |