| 10/16/2013 |
| 08:32:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ARVIZU, VANESSA, | 4B-683837622 | R | 29.00 | 5438********6525 | H64111 | 10/16/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |