| 04/24/2013 |
| 08:10:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLOOM, PAULA, | H7-107602 | R | 52.00 | 3725*******6019 | 142949 | 04/24/13 |
| Count | Card Type | Total |
| 1 | American Express | 52.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |