| 12/05/2012 |
| 08:37:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KIZER, KIM, | 1H-002143 | R | 49.95 | 4262********2327 | 91938F | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.95 |