| 10/29/2014 |
| 06:36:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEREZ, JASON, | E2-SJ00080 | R | 90.00 | 3725*******3000 | 109774 | 10/29/14 |
| Count | Card Type | Total |
| 1 | American Express | 90.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 90.00 |