| 06/19/2013 |
| 06:58:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAX, NICHOLES, | SG-300667 | R | 41.39 | 4190********5275 | 011030 | 06/19/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.39 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.39 |