| 10/03/2012 |
| 08:16:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GIRARD, JASON, | K4-03897 | R | 270.11 | 5149********8703 | 038370 | 10/03/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 270.11 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 270.11 |