| 07/18/2012 |
| 06:14:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FARR, LISA, | 27-004119 | R | 50.00 | 5109********5929 | H65281 | 07/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 50.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |