| 05/02/2013 |
| 08:08:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLTON, JIM, | 4H-003268 | R | 55.00 | 5465********3793 | 006189 | 05/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 55.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |