| 11/28/2012 |
| 08:46:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LATHAN, BRITTAN, | 1M-812230478 | R | 89.00 | 3767*******1005 | 160768 | 11/28/12 |
| Count | Card Type | Total |
| 1 | American Express | 89.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 89.00 |