| 08/22/2012 |
| 06:03:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCIPIONE, KIM, | 4J-369808798 | R | 49.00 | 5178********8749 | 00238Z | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |