| 11/07/2012 |
| 08:35:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POLIZZI, ANTHON, | LV-POLIZZI | R | 99.80 | 4034********3978 | 629539 | 11/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.80 |