| 06/06/2012 |
| 08:39:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MADDOX, ADAM, | 5T-006494 | R | 79.00 | 5178********9231 | 08999Z | 06/06/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |