| 03/12/2014 |
| 07:34:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DAVILA, HECTOR, | M4-70 | R | 29.99 | 4435********8667 | 031025 | 03/12/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |