| 11/28/2012 |
| 08:48:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GREEN, JOHN, | SM-S2019 | R | 40.00 | 4737********4956 | 847901 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 40.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |