| 12/04/2013 |
| 08:42:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DIAZ, LUIS, | FD-460952 | R | 83.99 | 4494********1883 | 603696 | 12/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 83.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 83.99 |