| 06/12/2013 |
| 07:53:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAMUELIAN, EMAN, | 3Q-005854 | R | 49.00 | 4366********5301 | 025245 | 06/12/13 |
| VELASQUEZ, IZAB, | 3Q-002640 | R | 69.00 | 3717*******2000 | 141293 | 06/12/13 |
| Count | Card Type | Total |
| 1 | American Express | 69.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 118.00 |