| 11/21/2012 |
| 08:47:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPSTAIN, NATAL, | 6E-013691 | R | 15.80 | 4282********2871 | 023407 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.80 |