| 07/18/2012 |
| 06:13:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STEIN, CAMILLE, | 5L-004954 | R | 75.00 | 4200********1467 | 884180 | 07/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 75.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.00 |