| 09/26/2012 |
| 08:28:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GILL, JESSE, | BW-PF18034 | R | 26.00 | 5178********4983 | 03638B | 09/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 26.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.00 |