| 11/28/2012 |
| 08:46:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARCELIN, MANOY, | 6S-525163696 | R | 69.00 | 4011********8866 | 092243 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |