| 08/16/2012 |
| 05:46:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROTH, NICOLE, | 3B-010062 | R | 41.34 | 4342********1633 | 942393 | 08/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.34 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.34 |