| 05/29/2013 |
| 08:39:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTGOMERY, THA, | DW-10275 | R | 54.00 | 5155********9201 | T3702Z | 05/29/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 54.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |