| 05/08/2013 |
| 08:11:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOSIER, JAKE, | LB-FF12475 | R | 39.00 | 5440********5734 | 008675 | 05/08/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |