| 10/24/2012 |
| 09:06:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NANCARROW, TAYL, | FJ-100178 | R | 74.50 | 5118********2576 | 001284 | 10/24/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 74.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 74.50 |