| 07/25/2012 |
| 08:23:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WINE, CASEY | 3H-268679129 | 4 | 59.00 | 5175********4821 | B67173 | 07/25/12 |
| 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 |