| 06/11/2014 |
| 08:22:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOZADA, MANUEL, | GV-1526 | R | 49.80 | 5516********2390 | 087988 | 06/11/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.80 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.80 |