| 11/14/2012 |
| 08:47:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SEVERN, MELISSA, | WA-108967 | R | 73.00 | 4366********1907 | 026331 | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 73.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 73.00 |