| 01/11/2012 |
| 08:47:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOYACONO, JESSI, | 2X-007575 | R | 35.00 | 5455********6397 | 692552 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |