| 02/27/2013 |
| 08:03:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LE, HAI, | 1G-326281 | R | 31.79 | 4185********4275 | 03762G | 02/27/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.79 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.79 |