| 09/25/2012 |
| 21:00:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| UREMOVICH, JENNIFER | 3S-009555 | 4 | 79.00 | 4388********0881 | 02863C | 09/25/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |