| 09/12/2012 |
| 06:01:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLEVINS, TEJU, | 6T-159645706 | R | 89.00 | 4282********6549 | 043906 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 89.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 89.00 |