| 11/28/2012 |
| 08:48:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BASSHAM, HARLAN, | 9M-124106 | R | 21.49 | 5109********1324 | H85332 | 11/28/12 |
| WILCOXSON, TROY, | 9M-123729 | R | 10.70 | 4063********5335 | 769606 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.49 |
| 1 | Visa | 10.70 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.19 |