| 12/12/2012 |
| 08:51:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WIATROWSKI, MAR, | 1F-329924 | R | 31.79 | 4744********4573 | 103830 | 12/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.79 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.79 |