| 10/02/2013 |
| 07:29:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOUSTON, CLAUDI, | SF-10400 | R | 35.00 | 5466********4919 | 21684P | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |