| 08/02/2012 |
| 06:07:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WESTFALL, SHELL, | 4F-002804 | R | 5.00 | 4327********0937 | 699617 | 08/02/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |