| 10/23/2013 |
| 08:27:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENDOZA, BENJAM, | ST-2002866 | R | 29.00 | 4427********6404 | 104852 | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |