| 01/14/2015 |
| 08:45:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ALVES, CORBIN, | 53-031404 | R | 64.00 | 5129********4574 | 846070 | 01/14/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.00 |