| 08/29/2012 |
| 06:08:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KAZMIERCZAK, JU, | Z8-024107 | R | 33.72 | 4303********0188 | Q74505 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.72 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.72 |