| 12/04/2013 |
| 08:41:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORT, CHRIS, | PE-CF3010 | R | 64.95 | 5332********9382 | IL6HXA | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.95 |