| 07/05/2012 |
| 07:02:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WESTPHALEN, MAR, | 3Z-003622 | R | 49.00 | 5491********2544 | 37659B | 07/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |