| 10/10/2012 |
| 08:38:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NELSON, TRISTAN, | GA-460144 | R | 72.78 | 4021********9594 | 002379 | 10/10/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 72.78 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 72.78 |