| 12/26/2012 |
| 06:25:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VANVRANKEN, STA, | 58-010963 | R | 319.96 | 4238********7268 | 070316 | 12/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 319.96 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 319.96 |