| 08/29/2012 |
| 06:08:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOMINGUEZ, TERR, | WF-110746 | R | 99.00 | 4342********6671 | 697137 | 08/29/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |