| 04/18/2012 |
| 10:48:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DEROOS, MOLLY, | 5J-007354 | R | 69.00 | 4631********2436 | 491777 | 04/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |