| 11/14/2012 |
| 08:47:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LASPADA, MARC, | D8-D02359 | R | 19.00 | 4694********2664 | 906502 | 11/14/12 |
| 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 |