| 11/06/2014 |
| 09:08:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RODRIGUEZ, MARI, | 8I-488122 | R | 80.00 | 4684********2857 | 05506B | 11/06/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 80.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.00 |