| 10/16/2013 |
| 08:47:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NICKENS, LISHA, | BD-19482 | R | 35.00 | 4427********1664 | 054079 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |