| 09/18/2013 |
| 06:14:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BREAUX, LENA, | 43-001770 | R | 79.00 | 5572********7705 | 199782 | 09/18/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 79.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |