| 05/30/2012 |
| 06:29:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RESENDEZ, JILLI, | 67-005374 | R | 29.95 | 5465********1754 | H64876 | 05/30/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.95 |