| 07/02/2015 |
| 07:28:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PALLARES, VICTO, | S9-S20259 | R | 39.00 | 5465********8379 | H75819 | 07/02/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |