| 10/16/2013 |
| 08:32:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MYERS, MENDY, | 67-003650 | R | 5.00 | 4157********6634 | 221249 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |