| 12/05/2012 |
| 08:37:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BARRYMORE, RUTH, | 5F-531339842 | R | 61.36 | 4117********0415 | 112413 | 12/05/12 |
| BERTOLINE, LORI, | 5F-004859 | R | 79.00 | 3713*******3002 | 161256 | 12/05/12 |
| Count | Card Type | Total |
| 1 | American Express | 79.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 61.36 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 140.36 |