| 10/31/2012 |
| 08:57:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FLORES, JOSEPH, | AE-1013800 | R | 27.00 | 5142********0868 | 259561 | 10/31/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 27.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.00 |