| 11/30/2011 |
| 08:38:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DEJESUS, JUAN, | 2R-008145 | R | 68.53 | 4828********2050 | 637843 | 11/30/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 68.53 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.53 |