| 12/05/2012 |
| 08:37:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HEBERT, TABATHA, | 2H-001504 | R | 19.95 | 5507********7261 | 994566 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.95 |