| 11/21/2012 |
| 08:57:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PANAGOULEAS, AN, | US-130391 | R | 206.00 | 4034********2432 | 771625 | 11/21/12 |
| PANAGOULEAS, MI, | US-130558 | R | 51.50 | 4034********2432 | 771580 | 11/21/12 |
| VALENCIA, MAX, | US-103075 | R | 417.00 | 5146********1200 | 7F585D | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 417.00 |
| 2 | Visa | 257.50 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 674.50 |