| 08/07/2013 |
| 08:46:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MALINOWSKI, DOU, | MH-18399 | R | 30.00 | 5465********4929 | 009265 | 08/07/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 30.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |