| 01/04/2012 |
| 06:13:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GORETZKA, MARCY, | 4Z-004596 | R | 49.00 | 4166********2678 | 815846 | 01/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |