| 01/09/2013 |
| 08:32:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROCHA, NICK, | 6E-012746 | R | 49.00 | 4767********2179 | 073520 | 01/09/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |