| 08/29/2012 |
| 06:08:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TANNENBAUM, LAR, | DT-100926 | R | 35.00 | 4730********7571 | 797630 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |