| 12/18/2012 |
| 08:50:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUCHELI, HARLEY | S9-S17131 | 4 | 80.00 | 4427********2927 | 004409 | 12/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 80.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.00 |