| 05/16/2013 |
| 08:08:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SINKIN, AMELIA, | D6-037525 | R | 29.95 | 4128********8730 | 50267B | 05/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |