| 07/03/2013 |
| 07:10:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERNANDEZ, MARI, | 3W-854929966 | R | 99.00 | 3713*******2005 | 184682 | 07/03/13 |
| Count | Card Type | Total |
| 1 | American Express | 99.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |