| 12/19/2012 |
| 07:07:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BARTHELEMY, EDY, | YZ-331536 | R | 31.79 | 5403********9619 | 395268 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.79 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.79 |