| 11/28/2012 |
| 08:46:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURCH, MARY, | 7B-698626425 | R | 32.74 | 4833********5612 | X65644 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 32.74 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.74 |