| 02/04/2015 |
| 06:32:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROMERO, JOSE, | FA-575069 | R | 68.99 | 5332********6393 | A9NX3C | 02/04/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 68.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.99 |