| 09/12/2012 |
| 06:01:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERNARD, NICK, | 58-000195 | R | 19.95 | 4862********4827 | 07518A | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.95 |