| 08/13/2014 |
| 10:35:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CEBALLOS, RAYMO, | FC-12683 | R | 41.79 | 4029********9693 | 001125 | 08/13/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.79 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.79 |