| 11/09/2011 |
| 09:02:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DELACRUZ, CHRIS, | 2A-012134 | R | 10.00 | 5109********9441 | 268426 | 11/09/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 10.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |