| 09/25/2013 |
| 06:07:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BAYLOR, LORI, | FV-434298 | R | 119.85 | 5262********4130 | 055434 | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 119.85 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 119.85 |