| 08/28/2013 |
| 09:04:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENDOZA, EDWIN, | TM-11092 | R | 138.00 | 4037********2824 | 808212 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 138.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 138.00 |