| 12/12/2012 |
| 08:51:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROBLEZ, MARIA, | V7-43907A | R | 49.00 | 4217********4338 | 153744 | 12/12/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |