| 09/04/2013 |
| 09:02:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MADRIAGA, MELIS, | 7E-829161307 | R | 69.00 | 4631********7073 | 811500 | 09/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |