| 12/12/2012 |
| 08:51:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADAMS, ZACHARY, | FJ-100170 | R | 75.00 | 4815********9875 | 123242 | 12/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 75.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.00 |