| 10/03/2012 |
| 08:16:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MISQREZ, WILLIA, | FU-42485 | R | 27.99 | 4465********8431 | 00313B | 10/03/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 27.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.99 |