| 11/21/2012 |
| 08:57:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PARRISH, JEREMY, | MM-12096 | R | 35.00 | 5307********7116 | 570281 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |