| 05/21/2012 |
| 10:13:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLGUIN, LORRAI, | 5C-171040964 | R | 81.90 | 4342********7752 | 981706 | 05/16/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 81.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 81.90 |