| 08/21/2013 |
| 08:45:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PANTOJA, MARTIN, | FQ-455164 | R | 34.99 | 4342********3392 | 311581 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |