| 12/01/2011 |
| 15:41:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ACUINA, ANGELA | R3-19155 | 1 | 3.95 | 4039********5382 | 900605 | 12/01/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 3.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 3.95 |