| 10/17/2012 |
| 06:22:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEON, DAVID, | TM-10841 | R | 129.00 | 4217********5580 | 160184 | 10/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 129.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 129.00 |