| 10/16/2013 |
| 08:47:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, BIANCA, | TM-11297 | R | 432.00 | 4465********2193 | 015414 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 432.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 432.00 |