| 04/18/2012 |
| 10:48:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RESTREPO, CLAUD, | 5T-703599813 | R | 99.00 | 5262********6798 | 990887 | 04/18/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |