| 07/17/2013 |
| 07:45:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CRUZ, VERONICA, | GZ-555946 | R | 19.99 | 5443********6493 | 017798 | 07/17/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |