| 04/17/2013 |
| 08:12:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VAN, DHUC, | LE-102287 | R | 56.30 | 4264********5672 | 045820 | 04/17/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 56.30 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 56.30 |