| 08/22/2012 |
| 06:16:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARPENTER, SERG, | QU-011647 | R | 52.99 | 5443********0555 | 022744 | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 52.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.99 |