| 02/05/2014 |
| 06:07:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOSCH, DOMINIQU, | 7A-320876267 | R | 49.00 | 4190********4343 | 029615 | 02/05/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |