| 12/19/2012 |
| 07:04:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FLORES, ANDREA, | 5G-003099 | R | 99.76 | 4631********3188 | 484472 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.76 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.76 |