| 10/11/2012 |
| 08:29:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BECERRA, YASMID, | 3W-664076134 | R | 59.00 | 4124********9839 | 033437 | 10/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |