| 01/04/2012 |
| 06:13:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RICHARDSON, KAR, | 5T-005691 | R | 99.00 | 5443********1306 | 004837 | 01/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |