| 10/03/2012 |
| 05:55:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMITH, LONNIE, | 1J-835005246 | R | 101.76 | 5491********7383 | 00342B | 10/03/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 101.76 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 101.76 |