| 11/15/2013 |
| 06:07:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DELATTE, CRYSTAL | 2H-003668 | 3 | 69.00 | 5511********1442 | 515790 | 11/15/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |