| 10/15/2012 |
| 05:51:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LUSA, SHANNON | 27-008168 | 3 | 55.00 | 3713*******1032 | 160250 | 10/15/12 |
| Count | Card Type | Total |
| 1 | American Express | 55.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |