| 05/23/2012 |
| 08:49:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REYES, TERESA, | FY-426167 | R | 21.95 | 4342********2269 | 770902 | 05/23/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.95 |