| 11/07/2012 |
| 08:35:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HINOJOSA, BRIZE, | C5-C03300 | R | 48.71 | 4670********3171 | 933786 | 11/07/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 48.71 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 48.71 |