| 12/17/2014 |
| 09:37:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TORRES, SUSANA, | 8D-557058 | R | 140.00 | 4403********1561 | 055516 | 12/17/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 140.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 140.00 |