| 07/11/2012 |
| 08:29:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAAB, LISA, | PB-008764 | R | 59.00 | 4011********8373 | 092159 | 07/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |