| 09/26/2012 |
| 08:28:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CODRINGTON, BIL, | FQ-29013 | R | 104.97 | 3732*******9028 | 182342 | 09/26/12 |
| Count | Card Type | Total |
| 1 | American Express | 104.97 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 104.97 |