| 05/08/2013 |
| 08:07:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BELLOTTE, APRIL, | 43-363377168 | R | 38.50 | 5463********7965 | 209198 | 05/08/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 38.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.50 |