| 05/22/2013 |
| 08:20:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FIFAREK, KELLY, | P4-112545 | R | 120.00 | 5518********9451 | 940107 | 05/22/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 120.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |