| 01/30/2013 |
| 08:24:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARCIANO, ROSA, | YZ-331469 | R | 31.79 | 5491********7639 | 03003B | 01/30/13 |
| 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 |