| 01/11/2012 |
| 08:50:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTIZ, ELIZABET, | 4M-007019 | R | 65.95 | 5109********7602 | 385937 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 65.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 65.95 |