| 10/31/2012 |
| 07:15:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMITH, CRYSTAL, | 3L-007443 | R | 59.95 | 5142********4712 | 250527 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.95 |