| 08/21/2013 |
| 08:46:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FAISON, DAWN, | HC-1374 | R | 25.96 | 4427********3495 | 527522 | 08/21/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.96 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.96 |