| 11/14/2012 |
| 09:02:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BALBANEDU, PHIL, | 4A-48157692 | R | 59.00 | 4063********2238 | 744605 | 11/14/12 |
| 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 |