| 12/31/2014 |
| 08:19:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BELTRAN, JESSE, | S4-S21485 | R | 29.00 | 4465********3744 | 031618 | 12/31/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |