| 06/25/2014 |
| 06:56:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GONCALVES, SCAR, | A1-808866 | R | 22.00 | 5178********7821 | 09096Z | 06/25/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 22.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 22.00 |