| 06/13/2012 |
| 05:42:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ALMONTE, JOHANN, | GZ-555560 | R | 19.99 | 4134********3175 | 001067 | 06/13/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |