| 12/05/2012 |
| 08:37:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROTH, LEAH, | 6S-011604 | R | 5.00 | 4800********2179 | 025125 | 12/05/12 |
| WILDERMUTH, BRY, | 6S-469511931 | R | 99.00 | 4737********4072 | 998251 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 104.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 104.00 |