| 12/19/2012 |
| 07:06:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SERRANO, BRITTA, | FU-424498 | R | 29.99 | 4194********8124 | 016449 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |