| 10/24/2012 |
| 09:06:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| UNDERHILL, JAZM, | 1G-334288 | R | 31.79 | 5109********5844 | H83864 | 10/24/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.79 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.79 |