| 12/24/2014 |
| 06:13:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CAPAS, IRMA, | 8F-7418C14553 | R | 200.00 | 4168********3912 | 000410 | 12/24/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 200.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 200.00 |