| 05/08/2013 |
| 08:11:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARIA, AYALA, | GZ-555726 | R | 20.00 | 4247********6011 | 001053 | 05/08/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |