| 09/12/2012 |
| 06:03:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GUZMAN, GIOVANY, | F2-6432 | R | 75.00 | 4342********5295 | 065491 | 09/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 75.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.00 |