| 11/20/2013 |
| 08:25:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CRUZ, BULMARO, | SE-301122 | R | 23.13 | 4366********2899 | 028128 | 11/20/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 23.13 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 23.13 |