| 10/24/2012 |
| 09:03:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORD, NIKKI, | 4K-57002742 | R | 36.89 | 4736********4758 | 088163 | 10/24/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 36.89 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.89 |