| 11/14/2012 |
| 09:02:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HYLAND, MELISSA, | 67-686613971 | R | 5.00 | 3772*******1006 | 167065 | 11/14/12 |
| Count | Card Type | Total |
| 1 | American Express | 5.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |