| 01/04/2012 |
| 06:13:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AVILA, INGRIS, | 5W-005788 | R | 99.00 | 4833********0762 | 060007 | 01/04/12 |
| 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 |