| 11/27/2013 |
| 06:09:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAH, THERESA, | SN-1269 | R | 33.33 | 4479********8712 | 027095 | 11/27/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.33 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.33 |