| 10/02/2014 |
| 09:12:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FAUROTE, BRANDO, | R2-RAC8050 | R | 30.00 | 4270********8919 | 002093 | 10/02/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |