| 11/07/2012 |
| 08:32:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BRONDYKE, AMY, | 3S-008257 | R | 5.00 | 4430********2142 | 953534 | 11/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |