| 12/03/2014 |
| 09:01:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ALFONSO, MARC, | MH-28173 | R | 35.00 | 4000********2275 | 372823 | 12/03/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |