| 12/04/2013 |
| 08:41:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BALDACCHINO, PE, | PR-113713 | R | 75.30 | 5109********1743 | H67813 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 75.30 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.30 |