| 05/09/2012 |
| 05:42:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GONSOULIN, ANGE, | 5R-004456 | R | 183.00 | 4039********7032 | 000569 | 05/09/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 183.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 183.00 |