| 09/12/2012 |
| 06:03:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HONAKER, SPARRE, | TM-10566 | R | 108.00 | 4217********7173 | 164828 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 108.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 108.00 |