| 04/11/2013 |
| 10:48:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HIPP, DAWN, | 6S-001454 | R | 20.00 | 5424********1804 | 55214P | 04/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 20.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |