| 09/16/2013 |
| 06:02:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIBOTA, OSVALDO | 15-30031 | 2 | 25.00 | 4610********2815 | 004206 | 09/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |