| 01/07/2015 |
| 08:41:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIOS, MATTHEW, | TM-12127 | R | 78.00 | 4259********4714 | 394567 | 01/07/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 78.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 78.00 |