| 11/28/2012 |
| 08:48:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCHLEICHER, ASH, | H7-107354 | R | 52.00 | 5109********0163 | H88452 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 52.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |