| 06/26/2013 |
| 08:23:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROCE, JANELLE, | 4J-001448 | R | 99.00 | 5438********3417 | H65580 | 06/26/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |