| 01/04/2012 |
| 06:12:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WILLIAMS, TARRY, | 22-000044 | R | 25.00 | 4814********8163 | 065145 | 01/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |