| 09/26/2012 |
| 08:28:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAHINAN, ENLIZA, | WB-SM11320 | R | 69.95 | 4217********8569 | 115061 | 09/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.95 |