| 10/10/2012 |
| 08:38:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CASTILLO, FABIA, | Z8-023467 | R | 21.81 | 5103********4076 | 032595 | 10/10/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.81 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.81 |