| 12/19/2012 |
| 07:06:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZAPATA, GLADYS, | GV-794 | R | 49.80 | 4355********9298 | 2A15F7 | 12/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.80 |