| 09/05/2012 |
| 05:56:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FRUGE, ROBIN, | 2C-018916 | R | 39.00 | 4690********2617 | 420702 | 09/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |