| 03/07/2012 |
| 06:17:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BELT, CINDY, | 3U-005217 | R | 5.00 | 4788********0218 | 699434 | 03/07/12 |
| 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 |