| 12/26/2012 |
| 06:47:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERNANDEZ, PETE, | AC-100-00171 | R | 59.51 | 4409********7198 | 000493 | 12/26/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.51 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.51 |