| 09/12/2012 |
| 06:01:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PLAISANCE, LORI, | 3J-006077 | R | 179.48 | 4011********8272 | 063810 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 179.48 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 179.48 |