| 08/02/2012 |
| 06:07:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FALGOUST, REGIN, | 2X-000752 | R | 19.95 | 4271********7434 | 070045 | 08/02/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.95 |