| 03/25/2015 |
| 06:56:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTES, JAVIER, | LB-FF14696 | R | 29.00 | 4342********5132 | 883061 | 03/25/15 |
| 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 |