| 09/26/2012 |
| 08:26:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMEZ, KIARA, | 4L-438939030 | R | 48.00 | 4307********6788 | 180595 | 09/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 48.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 48.00 |