| 10/17/2012 |
| 06:20:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DUCOTE, MELANIE, | 13-962194189 | R | 69.00 | 4736********9369 | 074841 | 10/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |