| 11/14/2012 |
| 08:47:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOWELL, KEITH, | FZ-35618 | R | 34.99 | 4282********5162 | 013909 | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |