| 05/02/2012 |
| 09:26:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CONDE, NICOLE, | 5Q-006529 | R | 99.00 | 4120********3569 | 972871 | 05/02/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |