| 09/26/2012 |
| 08:28:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WELTON, NYSSA, | 3Y-111248 | R | 25.00 | 4744********1963 | 125340 | 09/26/12 |
| 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 |