| 08/22/2012 |
| 06:05:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CUPP, DANE, | 3X-009270 | R | 237.80 | 4060********1657 | 003206 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 237.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 237.80 |