| 10/31/2012 |
| 07:16:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CAROLLO, KELLIE, | 68-000050 | R | 147.00 | 4430********2252 | 404203 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 147.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 147.00 |