| 12/05/2012 |
| 08:40:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SHINAUTT, YOLAN, | GZ-555989 | R | 19.99 | 4408********0185 | 090561 | 12/05/12 |
| 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 |