| 09/19/2012 |
| 05:33:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRIFFIN, ASHLEY, | 4Y-015366 | R | 29.95 | 4640********4537 | 07542B | 09/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |