| 09/04/2013 |
| 09:05:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TORRES, BELEN, | FQ-475432 | R | 44.99 | 4631********2064 | 819840 | 09/04/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 44.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.99 |