| 10/31/2012 |
| 07:16:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIPE, ANJELI, | 5C-000944 | R | 77.72 | 4744********6775 | 152548 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 77.72 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 77.72 |