| 09/19/2012 |
| 05:33:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PICKERAL, DANIE, | 3H-000078 | R | 79.00 | 4870********2098 | 051465 | 09/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |