| 12/19/2012 |
| 07:04:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADAMS, KORI, | 6J-826574654 | R | 64.90 | 4868********5108 | 571944 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 64.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.90 |