| 11/28/2012 |
| 08:48:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUCKNER, TENESH, | LC-35452 | R | 196.20 | 5113********1665 | 000430 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 196.20 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 196.20 |