| 01/09/2013 |
| 08:32:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTIZ, ROBYN, | 1Y-003715 | R | 39.95 | 4254********5928 | 000198 | 01/09/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.95 |