| 12/19/2012 |
| 07:04:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOWLIN, AMY, | 4P-003051 | R | 54.95 | 4388********7092 | 09048C | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.95 |