| 09/26/2012 |
| 08:26:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MACE, DAWN, | 2D-002664 | R | 55.00 | 4643********8917 | 4BO2S9 | 09/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |