| 10/17/2012 |
| 06:20:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KINGSLEY, AMELI, | 3X-009392 | R | 10.00 | 5109********3847 | H61997 | 10/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 10.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |