| 08/08/2012 |
| 06:14:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ACHE, MYLAM, | 5H-002402 | R | 26.59 | 4492********9628 | 000582 | 08/08/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 26.59 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.59 |