| 12/19/2012 |
| 07:07:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BONANNO, CARMIN, | QM-115836 | R | 39.99 | 4029********9373 | 063444 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |