| 12/04/2013 |
| 08:42:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GREEN, TIFFANY, | D8-D02706 | R | 19.00 | 5438********1493 | H61992 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |