| 10/11/2012 |
| 08:29:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SERIO, COURTNEY, | 3T-629665638 | R | 49.50 | 5178********2780 | 01509Z | 10/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.50 |