| 08/16/2012 |
| 05:46:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILLERMAN, KATI, | 5L-004409 | R | 474.00 | 4024********1649 | 000553 | 08/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 474.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 474.00 |