| 05/21/2012 |
| 10:13:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACKSON, RAMON, | 46-299252368 | R | 59.00 | 5443********4412 | 063341 | 05/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |