| 10/17/2012 |
| 06:22:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WILSON, JEREMY, | UF-WILSON | R | 29.00 | 5418********2917 | 63128B | 10/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |