| 09/19/2012 |
| 05:25:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LUCZYNSKI, KEVI, | H7-106447 | R | 52.00 | 4737********1558 | 202529 | 09/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 52.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |