| 11/21/2012 |
| 08:47:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZIMMERMAN, KINZ, | 4N-004298 | R | 70.00 | 5461********8967 | 512117 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 70.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 70.00 |