| 11/07/2012 |
| 08:35:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PAIN, WESLEY, | FB-29110 | R | 56.95 | 5385********5709 | 973704 | 11/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 56.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 56.95 |