| 08/29/2012 |
| 06:08:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMELTZ, ROBERT, | C1-26746 | R | 45.00 | 4793********4307 | 175674 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 45.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |