| 10/02/2014 |
| 09:12:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TREVINO, MARGE, | PK-16194 | R | 20.00 | 5287********2277 | 085843 | 10/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 20.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |