| 08/14/2013 |
| 08:46:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CONCEPCION, SER, | 5P-533613161 | R | 39.00 | 4707********0573 | 174098 | 08/14/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |