| 12/26/2012 |
| 06:48:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROSS, VICKI, | PE-31772 | R | 40.05 | 5103********2640 | 060202 | 12/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.05 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.05 |