| 11/13/2013 |
| 08:34:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DRAKE, CAROL, | 30-000782 | R | 63.00 | 3712*******1005 | 104760 | 11/13/13 |
| Count | Card Type | Total |
| 1 | American Express | 63.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 63.00 |