| 12/05/2012 |
| 08:37:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORLER, JOSEPH, | 5H-835987841 | R | 46.22 | 5465********9510 | H86809 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 46.22 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 46.22 |