| 04/23/2014 |
| 06:55:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BANUELOS, FRANC, | 8H-487116 | R | 50.00 | 3751*******5399 | 742169 | 04/23/14 |
| Count | Card Type | Total |
| 1 | American Express | 50.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |