| 10/17/2012 |
| 06:23:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUSTAMANTE, JAS, | 17-013138 | R | 37.83 | 4744********5559 | 160569 | 10/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 37.83 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 37.83 |