| 11/21/2012 |
| 08:57:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEDRANO, DIEGO, | FB-25410 | R | 419.65 | 4494********5626 | 146784 | 11/21/12 |
| MOON, KRISTI, | FB-37305 | R | 169.00 | 4266********8901 | 02312B | 11/21/12 |
| SERRATO, JOSE, | FB-35644 | R | 144.85 | 5300********7185 | 632623 | 11/21/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 144.85 |
| 2 | Visa | 588.65 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 733.50 |