| 05/08/2013 |
| 08:10:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEDEIROS, MARIO, | 1D-20277 | R | 45.00 | 4342********4373 | 707724 | 05/08/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 45.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |