| 05/14/2014 |
| 08:05:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTEGA, VANESSA, | ST-2100210 | R | 29.00 | 4815********9627 | 195152 | 05/14/14 |
| 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 |