| 10/10/2012 |
| 08:38:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ACEVEDE, LUIS, | Y2-A05166 | R | 31.30 | 3726*******2017 | 122999 | 10/10/12 |
| Count | Card Type | Total |
| 1 | American Express | 31.30 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.30 |