| 09/12/2012 |
| 06:03:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERLIN, AMY, | 3Y-111313 | R | 20.00 | 5509********9729 | 089810 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 20.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |