| 08/20/2014 |
| 07:03:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CERVANTES, DORI, | 8C-7419C15298 | R | 80.00 | 5424********5574 | 68817B | 08/20/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 80.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.00 |