| 12/05/2012 |
| 08:40:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROUSH, DAVID, | AT-14940 | R | 52.46 | 5175********0432 | 563677 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 52.46 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.46 |