| 08/29/2012 |
| 06:17:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SUOZZO, MADELIN, | 6U-355166389 | R | 82.50 | 5178********6376 | 01351B | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 82.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 82.50 |