| 11/21/2012 |
| 08:57:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NIES, EMILY, | 1D-101858 | R | 77.00 | 5403********1143 | 324044 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 77.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 77.00 |