| 11/14/2012 |
| 09:02:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROBERTS, COLETT, | 5Y-586333663 | R | 89.00 | 4229********3188 | 429684 | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 89.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 89.00 |