| 10/09/2013 |
| 07:33:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RODRIGUEZ, YENI, | 3W-451402779 | R | 99.99 | 3767*******2037 | 113990 | 10/09/13 |
| Count | Card Type | Total |
| 1 | American Express | 99.99 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.99 |