| 10/31/2012 |
| 07:15:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEHENBAUER, PAG, | 3X-009116 | R | 178.00 | 4744********3810 | 182635 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 178.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 178.00 |