| 01/16/2013 |
| 08:36:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NGUYEN, QUYEN, | AZ-10639 | R | 80.00 | 4833********4203 | 370846 | 01/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 80.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.00 |