| 08/22/2012 |
| 06:05:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCHRAUB, ADDAM, | 3L-007867 | R | 20.00 | 5142********1511 | 255271 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 20.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |