| 10/11/2012 |
| 08:29:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HANSEN, JILL, | 7B-441772502 | R | 40.13 | 5401********1465 | 01775B | 10/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.13 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.13 |