| 11/13/2013 |
| 08:34:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DENNY, CARISSA, | 5L-005768 | R | 39.00 | 5461********5262 | 570180 | 11/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |