| 09/11/2013 |
| 09:14:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| IMPASTATO, LUCI, | 3E-004003 | R | 34.50 | 5178********3336 | 02186Z | 09/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.50 |