| 12/10/2012 |
| 06:54:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PETERSEN, CHAD | 5R-514323424 | 2 | 39.50 | 5455********0756 | 019629 | 12/10/12 |
| PETERSEN, WENDY | 5R-728210949 | 2 | 43.45 | 5455********0756 | 018652 | 12/10/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 82.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 82.95 |