| 12/01/2014 |
| 16:22:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARTINEZ, PATRICIA | 8E-521094 | 1 | 120.00 | 4815********6591 | 155424 | 12/01/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 120.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |