| 09/11/2013 |
| 09:21:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARBONELL, STEV, | LE-102725 | R | 65.00 | 5465********4188 | 004973 | 09/11/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 65.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 65.00 |