| 01/29/2014 |
| 08:07:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AZEVEDO, DANAE, | 1X-394132606 | R | 21.99 | 4465********5261 | 029396 | 01/29/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |