| 05/29/2013 |
| 08:39:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SANCHEZ, MICHEL, | FQ-436780 | R | 21.95 | 5113********0391 | 900298 | 05/29/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.95 |