| 12/04/2013 |
| 08:35:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FULTON, CONNIE, | 1S-690538484 | R | 79.00 | 4355********2912 | 069078 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |