| 12/04/2013 |
| 08:35:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VALENCIA, DIANA, | 4K-005634 | R | 79.00 | 5466********4203 | 59986P | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |