| 05/22/2013 |
| 06:12:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAY, ROSA, | 5P-13185746 | R | 71.65 | 4355********6144 | 6HJ6O4 | 05/22/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 71.65 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 71.65 |