| 05/10/2013 |
| 05:41:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEDINA, JENNIFER | 6E-011977 | 2 | 64.90 | 5403********0281 | 053221 | 05/10/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.90 |