| 10/31/2012 |
| 07:15:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SARKA, JEN, | 3U-618897952 | R | 49.00 | 4186********2513 | 002333 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |