| 01/23/2013 |
| 07:12:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADRIAN, LORI, | 3X-003208 | R | 49.00 | 4355********6352 | 36O884 | 01/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |