| 02/17/2012 |
| 06:26:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TABIEROS 15TH, FAITH | N5-CF28159 | 3 | 39.00 | 4217********2776 | 004121 | 02/17/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |