| 01/21/2015 |
| 08:37:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BENAVIDEZ, LEON, | A5-203690 | R | 33.00 | 4452********1322 | 017799 | 01/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.00 |