| 05/23/2012 |
| 08:49:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| UHLS, RYAN, | T3-B7375 | R | 39.95 | 5516********5578 | 037426 | 05/23/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.95 |