| 10/23/2013 |
| 08:27:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARR, HELEN, | 3Y-123811 | R | 25.00 | 5491********2754 | 02365B | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |