| 12/05/2012 |
| 08:39:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EVANS, ROBERT, | SR-422278406 | R | 25.00 | 4736********9233 | 012564 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |