| 08/21/2013 |
| 08:45:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PALMA-RODRIGUEZ, | D9-11357 | R | 29.00 | 5403********8097 | 329614 | 08/21/13 |
| PELAYO BANUELOS, | D9-11113 | R | 39.00 | 4815********1656 | 192345 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.00 |