| 04/03/2013 |
| 05:49:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DICICCO, ANNA M, | GH-W3204 | R | 29.00 | 5403********5150 | 052119 | 04/03/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |