| 09/26/2012 |
| 08:26:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHENOWETH, MICH, | 5D-007066 | R | 63.07 | 4452********1565 | 762079 | 09/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 63.07 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 63.07 |