| 10/17/2012 |
| 06:20:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARCHESE, CRYST, | 6Y-005350 | R | 99.00 | 4833********0289 | B18226 | 10/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |