| 08/28/2013 |
| 08:49:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOURQUE, TANYA, | 07-149435700 | R | 59.04 | 4266********6017 | 06621A | 08/28/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.04 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.04 |