| 01/10/2012 |
| 06:31:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORNSTEIN, PATTY | 3L-006302 | 2 | 5.00 | 3728*******2018 | 147261 | 01/10/12 |
| Count | Card Type | Total |
| 1 | American Express | 5.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |