| 12/26/2012 |
| 06:25:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VANDERTIE, JAMI, | PB-009676 | R | 49.00 | 5455********5009 | 865465 | 12/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |