| 11/14/2012 |
| 09:01:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COGGINS, CHRIST, | 3E-158356538 | R | 59.00 | 5178********7753 | 00227Z | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |