| 05/29/2013 |
| 08:38:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROUTLY, JAQUELI, | 3X-35407809 | R | 86.90 | 4101********5917 | 101554 | 05/29/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 86.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 86.90 |