| 01/30/2013 |
| 08:20:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTEGA, BRENDA, | 22-794838708 | R | 39.00 | 4750********5831 | 065808 | 01/30/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |