| 07/18/2012 |
| 06:14:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LISBONA, SARA, | 22-460368298 | R | 10.00 | 4342********4148 | 389662 | 07/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 10.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |