| 10/17/2012 |
| 06:20:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUSSELL, DEBY, | 4F-757247879 | R | 59.00 | 3739*******2002 | 146585 | 10/17/12 |
| 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 |