| 10/11/2012 |
| 08:29:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURKES, ANGELA, | 3K-008628 | R | 79.00 | 4914********1789 | 306771 | 10/11/12 |
| 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 |