| 11/28/2012 |
| 08:48:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SOLIS, MANUEL, | MZ-500696 | R | 69.98 | 4256********6446 | 103620 | 11/28/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.98 |