| 08/28/2013 |
| 09:04:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PROVOST, CELEST, | H7-106462 | R | 52.00 | 4238********3016 | 033629 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 52.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |