| 08/27/2012 |
| 06:02:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WINE, CASEY | 3H-268679129 | 4 | 64.90 | 5175********4821 | B61896 | 08/27/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.90 |