| 06/06/2012 |
| 08:58:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ACOSTA, JOSEFIN, | GZ-556027 | R | 19.99 | 5111********9338 | 919119 | 06/06/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |