| 05/22/2013 |
| 08:20:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HUMPHREYS, MICH, | SF-11525 | R | 49.00 | 4039********5089 | 002876 | 05/22/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |