| 01/04/2012 |
| 06:12:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EVANS, TODD, | 2V-012856 | R | 84.00 | 4063********3515 | 136582 | 01/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |