| 08/29/2012 |
| 06:17:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LIBMAN, LAURA, | 5D-004699 | R | 121.01 | 3743*******0630 | 917029 | 08/29/12 |
| Count | Card Type | Total |
| 1 | American Express | 121.01 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 121.01 |