| 12/18/2013 |
| 08:15:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RODRIGUEZ, HORT, | US-103661 | R | 10.00 | 5458********1163 | 01862Z | 12/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 10.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |