| 06/11/2014 |
| 08:22:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, JON, | FY-426048 | R | 194.80 | 4815********4531 | 144276 | 06/11/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 194.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 194.80 |