| 01/02/2013 |
| 06:47:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOORE, MARIA, | 30-001102 | R | 76.00 | 5155********7818 | T1063Z | 01/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 76.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 76.00 |