| 08/29/2012 |
| 06:17:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLADSAKER, SCHA, | 57-012584 | R | 9.80 | 4764********5904 | 826435 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 9.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 9.80 |