| 11/14/2012 |
| 09:02:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANDERS, CHELSE, | 5S-006050 | R | 79.00 | 4477********4153 | 099523 | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |