| 01/16/2012 |
| 06:13:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADOLPH, ANGIE | 4S-005870 | 3 | 49.00 | 5466********4850 | 13166Z | 01/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |