| 09/03/2014 |
| 09:04:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMIREZ, ANA, | LG-001612 | R | 36.44 | 5465********7579 | H89372 | 09/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 36.44 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.44 |