| 05/30/2012 |
| 06:20:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORD, LAWRENCE, | LE-100671 | R | 15.98 | 5465********7835 | 005036 | 05/30/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 15.98 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.98 |