| 11/07/2012 |
| 08:33:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BAISIER, BERNAR, | PB-015223 | R | 24.95 | 4498********8028 | 01210B | 11/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.95 |