| 09/18/2013 |
| 06:16:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GARCIA-SANTOS,, | FZ-441235 | R | 31.95 | 4815********1704 | 195180 | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.95 |