| 11/21/2012 |
| 08:48:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DONOLO, JESSICA, | 2X-008771 | R | 36.00 | 5178********9371 | 07092Z | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 36.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.00 |