| 12/19/2012 |
| 07:07:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARLSON, ZACH, | SL-G00132294 | R | 15.99 | 4482********1566 | 063519 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.99 |