| 05/30/2012 |
| 06:29:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURMASTER, AMI, | 57-011226 | R | 89.00 | 5424********5915 | 46936B | 05/30/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 89.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 89.00 |