| 10/03/2012 |
| 08:16:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PHILLIPS, NICHO, | FA-27699 | R | 119.98 | 5403********7764 | 053758 | 10/03/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 119.98 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 119.98 |