| 08/22/2012 |
| 06:03:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FISHER, DANI, | 5L-003107 | R | 39.00 | 4190********3114 | 026750 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |