| 12/11/2013 |
| 08:07:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEURS, SHANA, | K7-64640 | R | 40.00 | 5511********0669 | 040730 | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |