| 01/11/2012 |
| 08:50:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JIMENEZ, ANGELA, | 6E-010859 | R | 79.00 | 4873********6610 | 091518 | 01/11/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |