| 01/11/2012 |
| 08:37:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ESCOBEDA, PATRI, | E6-21000120 | R | 38.00 | 4868********0105 | 053904 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 38.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.00 |