| 12/05/2012 |
| 08:40:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIVIERA, CLAUDI, | FJ-100066 | R | 55.00 | 5443********9845 | 189219 | 12/05/12 |
| ROUFFAER, ALEX, | FJ-100155 | R | 60.00 | 5118********8561 | 001038 | 12/05/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 115.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 115.00 |