| 10/10/2012 |
| 08:38:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROLFING, TIFFAN, | PE-3071892 | R | 36.81 | 4727********4905 | 640881 | 10/10/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 36.81 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.81 |