| 08/21/2013 |
| 08:45:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VAZQUEZ, BRIAN, | FB-469188 | R | 263.96 | 4815********3269 | 132141 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 263.96 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 263.96 |