| 01/16/2014 |
| 09:25:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COBIAN, JOSE | S9-S21787 | 4 | 100.00 | 5403********0218 | 821279 | 01/16/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 100.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |