| 11/12/2014 |
| 12:33:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOLINA, ABRAHAM, | D9-12005A | R | 62.00 | 4264********6396 | 015417 | 11/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 62.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 62.00 |