| 11/15/2012 |
| 06:33:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization |
| FORTUNA NANCY | PF-001112 | 2 | 19.00 | 4417********5797 | 06638A |
| ROZUMNIAK DAVID | PF-015170 | 2 | 83.00 | 5240********4593 | 06645Z |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 83.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 102.00 |