| 10/16/2013 |
| 08:47:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BAUTISTA, JOANN, | CX-0018761 | R | 51.94 | 5403********2171 | 061528 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 51.94 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 51.94 |