| 09/19/2012 |
| 05:33:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HAUSWIRTH, JAME, | 3Q-007150 | R | 50.29 | 3717*******3007 | 147428 | 09/19/12 |
| SAMUELIAN, EMAN, | 3Q-005854 | R | 5.00 | 4366********5301 | 018272 | 09/19/12 |
| Count | Card Type | Total |
| 1 | American Express | 50.29 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.29 |