| 10/22/2014 |
| 09:46:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERNANDEZ, OSVA, | CN-70345 | R | 30.00 | 4736********4550 | 083410 | 10/22/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |