| 07/30/2014 |
| 08:39:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BETTENCOURT, LA, | F2-1377 | R | 60.00 | 4475********3072 | 019642 | 07/30/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 60.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.00 |