| 05/02/2012 |
| 09:25:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTGOMERY, GAR, | 1Y-010229 | R | 5.00 | 4254********3775 | 000224 | 05/02/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |