| 12/18/2013 |
| 08:15:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARTER, THERESA, | SM-S2915 | R | 13.00 | 5155********6058 | 05774Z | 12/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 13.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 13.00 |