| 10/23/2013 |
| 08:27:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIOS, JIOVANI, | FA-441559 | R | 125.85 | 5312********7038 | 135696 | 10/23/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 125.85 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 125.85 |