| 08/22/2012 |
| 06:16:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARROLL, ED, | FJ-05051993 | R | 112.00 | 5362********1576 | 306288 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 112.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 112.00 |