| 05/02/2012 |
| 09:25:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOFF, TESS, | 2J-641169478 | R | 49.95 | 4357********6606 | 253618 | 05/02/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.95 |