| 09/25/2013 |
| 06:07:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SORROW, SENE, | H7-107232 | R | 46.00 | 5491********0164 | 02578B | 09/25/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 46.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 46.00 |