| 11/07/2012 |
| 08:33:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCHRICK, BRENDA, | 4Q-009094 | R | 59.00 | 4259********9377 | 074433 | 11/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |