| 12/11/2013 |
| 08:07:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SLIWINSKI, STEP, | R2-RAC4074 | R | 82.00 | 6011********4643 | 01194Q | 12/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 82.00 |
| 0 | Other | 0.00 |
| 82.00 |