| 08/16/2012 |
| 05:46:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORTUNE, LEAH, | 5S-210447270 | R | 59.00 | 5178********7314 | 04399Z | 08/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 59.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |