| 11/28/2012 |
| 08:46:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOCKAMY, SHANNO, | 41-681574750 | R | 64.90 | 5114********7311 | 028618 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.90 |