| 05/16/2013 |
| 08:08:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| THOMAS, PATRICI, | XN-69744 | R | 10.00 | 5403********8858 | 819955 | 05/16/13 |
| 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 |