| 08/22/2012 |
| 06:03:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCHREIBER, RHON, | 41-963323869 | R | 59.00 | 3725*******1002 | 198355 | 08/22/12 |
| Count | Card Type | Total |
| 1 | American Express | 59.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |