| 06/12/2012 |
| 08:30:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOLDSTEIN, BRANDON | A5-203203 | R | 30.00 | 4427********9363 | 071809 | 06/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |