| 04/04/2012 |
| 06:26:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MIMS, PHEBE, | 2M-004754 | R | 69.00 | 5463********2290 | 969221 | 04/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |