| 11/14/2012 |
| 09:01:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROTERT, JAMES, | 1L-005261 | R | 28.75 | 5466********3291 | 08775Z | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 28.75 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.75 |