| 09/12/2012 |
| 06:01:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIVERA, CAMILLE, | 4H-434737938 | R | 99.00 | 5109********0415 | H63867 | 09/12/12 |
| ROSE, ASHLEY, | 4H-010079 | R | 5.00 | 3772*******7001 | 104143 | 09/12/12 |
| Count | Card Type | Total |
| 1 | American Express | 5.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 104.00 |