| 11/15/2012 |
| 06:27:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLGUIN, LORRAINE | 5C-171040964 | 3 | 29.00 | 4342********7752 | 957333 | 11/15/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |