| 11/28/2012 |
| 08:48:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BELICHA, SHARON, | FB-35808 | R | 49.99 | 4756********5340 | 093481 | 11/28/12 |
| QUIANE, CYNTHIA, | FB-36808 | R | 6.05 | 4352********6662 | 043216 | 11/28/12 |
| RODRIGUES, JOEY, | FB-426697 | R | 91.95 | 4888********4463 | 035165 | 11/28/12 |
| VANDEUSEN, JIM, | FB-36829 | R | 31.95 | 5491********7979 | 02865P | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.95 |
| 3 | Visa | 147.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 179.94 |