| 09/24/2014 |
| 08:34:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COVARRUBIAS, FE, | FV-440108 | R | 43.90 | 3772*******1000 | 103440 | 09/24/14 |
| Count | Card Type | Total |
| 1 | American Express | 43.90 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 43.90 |