| 11/21/2012 |
| 08:47:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FREELAND, TRIST, | 6Z-401860025 | R | 79.00 | 4121********0120 | 063435 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |