| 09/04/2013 |
| 09:05:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HAYES, SAMANTHA, | F7-739 | R | 36.00 | 5106********2936 | 001279 | 09/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 36.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.00 |