| 12/05/2012 |
| 08:40:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ISOM, ADOLPH, | FR-14795 | R | 41.13 | 4142********0195 | 400017 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.13 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.13 |