| 04/30/2014 |
| 06:24:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONJARAS, BEATR, | LV-003483 | R | 109.90 | 5175********8662 | B72411 | 04/30/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 109.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 109.90 |