| 10/02/2013 |
| 06:17:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GARCIA, SAL, | 1X-006099 | R | 27.50 | 4815********8671 | 185466 | 10/02/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 27.50 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.50 |