| 10/31/2012 |
| 07:16:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAREK, KATIE, | 6U-200766850 | R | 79.00 | 5403********0222 | 062432 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |