| 08/13/2014 |
| 10:35:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CORONA, ESMERAL, | F2-0133 | R | 29.00 | 4266********9512 | 03734A | 08/13/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |