| 09/05/2012 |
| 05:56:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CRUZ, MELINA, | 2L-016527 | R | 69.00 | 4259********3289 | 066121 | 09/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |