| 09/18/2013 |
| 06:17:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ALVARADO, ANDRE, | PK-16803 | R | 25.00 | 5178********4029 | 04738Z | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |