| 10/03/2012 |
| 05:55:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEVI, ALEXANDRA, | 39-000058 | R | 34.00 | 4896********2928 | 722030 | 10/03/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |