| 03/07/2012 |
| 06:17:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LARSEN, IRVEN, | 5R-004918 | R | 20.00 | 4303********0206 | 109382 | 03/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |