| 07/05/2012 |
| 07:02:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOERSMA, CAITLI, | 6V-008075 | R | 39.00 | 4264********2704 | 05516B | 07/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |