| 08/22/2012 |
| 06:05:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CROUCH, KATHERI, | 1M-009712 | R | 30.00 | 4011********6197 | 063238 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |