| 09/12/2012 |
| 06:01:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PIECHOWSKI, AMY, | 4K-001061 | R | 39.95 | 4465********1341 | 01245B | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.95 |