| 01/04/2012 |
| 06:13:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KOHL, CONNIE, | 5G-005701 | R | 35.12 | 5459********5390 | 060004 | 01/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.12 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.12 |