| 08/28/2013 |
| 09:04:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIST, CORI, | HC-3592 | R | 31.29 | 5424********6700 | 149089 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.29 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.29 |