| 01/18/2012 |
| 06:06:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VASQUEZ, RAQUEL, | 2L-017979 | R | 29.95 | 4465********1910 | 01844A | 01/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |