| 05/16/2013 |
| 07:04:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERNANDEZ, JOLL, | 3W-002675 | R | 21.00 | 4282********3243 | 070407 | 05/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.00 |