| 11/21/2012 |
| 08:48:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BIRD, KIMBERLY, | 3X-008399 | R | 79.00 | 4039********5384 | 000783 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |