| 11/12/2014 |
| 12:33:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MORALES, JOSE, | A5-203669 | R | 24.50 | 4750********5288 | 091410 | 11/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.50 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.50 |