| 04/17/2013 |
| 08:12:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GALLEGOS, MARIS, | FI-458753 | R | 14.99 | 4427********1408 | 169433 | 04/17/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 14.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 14.99 |