| 06/13/2012 |
| 05:51:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SUMERA, JERRY, | 3T-000745 | R | 39.00 | 4271********1620 | 104069 | 06/13/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |