| 05/02/2013 |
| 08:07:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTIEL, MICHEL, | 1E-376575805 | R | 84.53 | 4200********8158 | 175174 | 05/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.53 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.53 |