| 02/05/2014 |
| 06:07:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERBAS, PATRICI, | 6A-003433 | R | 49.50 | 3743*******4329 | 808800 | 02/05/14 |
| Count | Card Type | Total |
| 1 | American Express | 49.50 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.50 |