| 12/19/2012 |
| 07:04:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FATHEREE, NICOL, | 7A-485988851 | R | 99.00 | 5465********7893 | H73609 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |