| 01/22/2014 |
| 08:39:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIOS, RUBEN, | FU-425183 | R | 55.90 | 4892********6925 | 189654 | 01/22/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.90 |