| 01/23/2013 |
| 08:11:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VALENCIA, YADIR, | XN-69897 | R | 19.00 | 4803********3843 | 040143 | 01/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |