| 12/12/2012 |
| 08:51:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROJAS, LILIANA, | D9-10410 | R | 34.00 | 4217********8708 | 143432 | 12/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |