| 04/04/2012 |
| 06:26:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTIZ, ROBYN, | 1Y-003715 | R | 43.95 | 4254********5928 | 108010 | 04/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 43.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 43.95 |