| 12/04/2013 |
| 08:41:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RICE, SARA, | UE-8470 | R | 34.00 | 4755********5865 | 070214 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |