| 08/22/2012 |
| 06:15:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOTHUN, DYLAN, | AR-29115 | R | 21.41 | 4862********1215 | 06911A | 08/22/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.41 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.41 |