| 06/04/2014 |
| 08:24:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SANTOS, JORGE, | F2-2310 | R | 35.00 | 4833********2619 | 093307 | 06/04/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |