| 01/26/2012 |
| 03:20:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARPENTER, THER, | 4J-009041 | R | 5.00 | 5109********9887 | 866765 | 01/25/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 5.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |