| 05/09/2012 |
| 05:44:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCRIVENS, SHONT, | MY-23001360 | R | 30.99 | 5490********3083 | 03544B | 05/09/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 30.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.99 |