| 04/26/2012 |
| 09:28:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PINHEIRO, PALOM, | 5T-384461374 | R | 99.00 | 5262********8998 | 073120 | 04/26/12 |
| 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 |