| 08/15/2012 |
| 06:05:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DE CRUZ, DOLORE, | K7-94500 | R | 85.00 | 5396********1709 | 03530B | 08/15/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 85.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 85.00 |