| 11/28/2012 |
| 08:48:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAMARRO, REBEC, | LV-~{002316}. | R | 54.90 | 5175********5908 | B88779 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 54.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.90 |