| 05/16/2012 |
| 08:10:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACOBS, PATTY, | 2E-358125416 | R | 59.00 | 4180********4815 | 442291 | 05/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |