| 12/17/2014 |
| 09:10:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENCHACA, DEBOR, | P4-200496 | R | 40.00 | 5175********7599 | B94596 | 12/17/2014 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |