| 10/30/2013 |
| 06:04:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HANSACK, KOV, | SE-F314505 | R | 34.08 | 4701********8458 | 105598 | 10/30/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.08 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.08 |