| 08/29/2012 |
| 06:20:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AMORLUZ, LANI, | E6-21001757 | R | 29.99 | 5262********7261 | 352319 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |