| 12/03/2014 |
| 09:01:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REYES, JOSE, | MA-3204 | R | 21.00 | 5312********3863 | 134905 | 12/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.00 |