| 08/08/2012 |
| 06:04:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SISSON, ADAM, | 3Y-110311 | R | 25.00 | 5141********0606 | 154317 | 08/08/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |