| 10/31/2012 |
| 08:57:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FURLONG, JONATH, | D8-D02644 | R | 19.00 | 4694********1277 | 526205 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |