| 01/26/2012 |
| 03:20:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUBERO, DINA, | 6F-000742 | R | 59.00 | 4661********4189 | 086664 | 01/25/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.00 |