| 07/17/2013 |
| 07:43:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RODRIGUEZ, YENI, | 5W-265656264 | R | 99.00 | 3767*******2037 | 135707 | 07/17/13 |
| Count | Card Type | Total |
| 1 | American Express | 99.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |