| 04/03/2013 |
| 05:48:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOMPKINS, HERMN, | E2-22650 | R | 21.20 | 4737********9215 | 868186 | 04/03/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.20 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.20 |