| 07/22/2013 |
| 19:29:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMEZ, LEO | FZ-432263 | 4 | 21.95 | 4217********1669 | 122339 | 07/22/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.95 |