| 04/03/2013 |
| 05:46:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENTZ, BRIDGETT, | 39-009630 | R | 53.90 | 4019********5575 | 216114 | 04/03/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 53.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 53.90 |