| 11/19/2014 |
| 08:58:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEREZ, JESUS, | FY-039170 | R | 134.80 | 4342********7256 | 591290 | 11/19/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 134.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 134.80 |