| 11/14/2012 |
| 09:02:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REYNETENKO, MAR, | 6A-003225 | R | 79.20 | 5490********4857 | 04514Z | 11/14/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.20 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.20 |