| 05/02/2012 |
| 09:26:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAGASSE, WESLEY, | 4S-965858711 | R | 99.00 | 3767*******1006 | 177436 | 05/02/12 |
| Count | Card Type | Total |
| 1 | American Express | 99.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |