| 06/27/2012 |
| 05:40:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PLAISANCE, TILL, | 57-012144 | R | 89.00 | 4862********9363 | 03209A | 06/27/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 89.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 89.00 |