| 11/28/2012 |
| 08:46:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JOHNSON, CINDY, | 5G-195684150 | R | 39.70 | 4121********1035 | 724284 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.70 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.70 |