| 12/19/2012 |
| 07:04:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CASAGRANDA, SAR, | 6D-005452 | R | 10.00 | 4630********3257 | 683425 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |