| 05/28/2014 |
| 06:32:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DELAFUENTE, RAL, | A3-10719 | R | 129.00 | 5275********8298 | 102003 | 05/28/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 129.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 129.00 |