| 10/16/2014 |
| 10:04:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| QUIRREGA JR., M, | FA-426352 | R | 20.00 | 4474********6133 | 362657 | 10/16/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |