| 03/21/2012 |
| 05:36:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEWIS, BRANDON, | 5S-006995 | R | 163.00 | 6011********6264 | 02194R | 03/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 163.00 |
| 0 | Other | 0.00 |
| 163.00 |