| 12/26/2012 |
| 06:25:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PATE, LISA, | 4A-143315398 | R | 1.00 | 4737********6384 | 477884 | 12/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 1.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 1.00 |