| 08/29/2012 |
| 06:18:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOOS, CARLY, | 1J-011917 | R | 55.50 | 4352********2693 | 063547 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.50 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.50 |