| 08/08/2012 |
| 06:04:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WHITE, CUTRESE, | Y5-110183 | R | 10.00 | 4269********4916 | 004627 | 08/08/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |