| 07/25/2012 |
| 08:25:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTANO, DEBORA, | M6-16117891 | R | 36.99 | 5362********4305 | 386776 | 07/25/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 36.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.99 |