| 08/10/2011 |
| 09:00:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ-SEGUNDO, EMILIO | GN-A02543 | R | 35.00 | 4217********5601 | 006542 | 08/10/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |