| 01/11/2012 |
| 08:50:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VISEL, PAUL, | 5U-001529 | R | 5.00 | 4670********5112 | 899434 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |