| 10/02/2014 |
| 09:13:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZARATE, LORENZO, | F1-581351 | R | 34.99 | 4820********8404 | 002820 | 10/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |