| 03/04/2014 |
| 06:52:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOMINGUEZ, TONY | FH-6271504 | 1 | 86.56 | 6011********1256 | 00479R | 03/04/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 86.56 |
| 0 | Other | 0.00 |
| 86.56 |