| 09/18/2013 |
| 06:17:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMMONS, TANYA, | H7-107339 | R | 52.00 | 5536********7064 | 007828 | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 52.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |