| 02/13/2013 |
| 08:13:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERNANDEZ, ANDR, | 6A-414477175 | R | 79.00 | 4264********8968 | 015002 | 02/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |