| 05/02/2013 |
| 08:08:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIDGEWAY-HERNDO, | 4C-012725 | R | 35.00 | 5109********2075 | H64775 | 05/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |