| 09/19/2012 |
| 05:33:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AVILA, SHELLY, | 4K-685533340 | R | 69.00 | 5109********2185 | H59206 | 09/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |