| 11/28/2012 |
| 08:46:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EPPERS, SHERRY, | 30-270750152 | R | 99.00 | 5153********2711 | 938589 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |