| 11/28/2012 |
| 08:48:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEE, EDWARD, | P4-104207 | R | 40.00 | 4704********9264 | 034006 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 40.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |