| 10/11/2012 |
| 08:29:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIWEK, TIFFANY, | 4Y-015879 | R | 43.95 | 5109********1607 | H86169 | 10/11/12 |
| ZAMORA, REBECCA, | 4Y-274143316 | R | 32.95 | 4060********0259 | 061709 | 10/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 43.95 |
| 1 | Visa | 32.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 76.90 |