| 09/19/2012 |
| 05:25:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BALMACEDA, MARI, | LV-~{001321}. | R | 49.90 | 4264********1054 | 01560B | 09/19/12 |
| LAROCCA, ALEXAN, | LV-65002409 | R | 49.90 | 4081********4802 | 50916A | 09/19/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 99.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.80 |