| 12/05/2012 |
| 08:40:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CABEZAS, SANTIA, | E2-24395 | R | 36.20 | 4355********6600 | 075126 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 36.20 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.20 |