| 04/03/2013 |
| 05:49:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHARLES, HERMIA, | WZ-ZHC2277 | R | 100.00 | 3713*******5004 | 163218 | 04/03/13 |
| Count | Card Type | Total |
| 1 | American Express | 100.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |