| 08/28/2013 |
| 09:04:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NOLASCO, BERNAR, | D9-9075A | R | 33.00 | 4815********3366 | 162407 | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.00 |