| 06/12/2012 |
| 08:30:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SLATON, ANTRAVEOUS | N1-5223 | R | 60.00 | 5575********2651 | 004639 | 06/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 60.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.00 |