| 05/08/2013 |
| 08:07:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIVERA, MEGAN, | 4P-713886570 | R | 39.95 | 4121********2977 | 00437B | 05/08/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.95 |