| 05/08/2013 |
| 08:07:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERNANDEZ, ANDR, | 6A-414477175 | R | 5.00 | 4264********8968 | 025034 | 05/08/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |